Obamacare 2022 Rates for Broward County
Obamacare > Rates > Florida > Broward County
Obamacare > Rates > Florida > Broward County
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Bright HealthCareLocal: 1-855-521-9335 | Toll Free: 1-855-521-9335 |
Toc - Plan #1 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$383.21 $434.95 $489.75 $684.42 $1,040.04 |
$676.37 $728.11 $782.91 $977.58 |
$969.53 $1,021.27 $1,076.07 $1,270.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.42 $869.90 $979.50 $1,368.84 $2,080.08 |
$1,059.58 $1,163.06 $1,272.66 $1,662.00 |
$1,352.74 $1,456.22 $1,565.82 $1,955.16 |
Toc - Plan #2 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$372.44 $422.72 $475.98 $665.17 $1,010.80 |
$657.36 $707.64 $760.90 $950.09 |
$942.28 $992.56 $1,045.82 $1,235.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$744.88 $845.44 $951.96 $1,330.34 $2,021.60 |
$1,029.80 $1,130.36 $1,236.88 $1,615.26 |
$1,314.72 $1,415.28 $1,521.80 $1,900.18 |
Toc - Plan #3 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$380.76 $432.16 $486.61 $680.04 $1,033.39 |
$672.04 $723.44 $777.89 $971.32 |
$963.32 $1,014.72 $1,069.17 $1,262.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$761.52 $864.32 $973.22 $1,360.08 $2,066.78 |
$1,052.80 $1,155.60 $1,264.50 $1,651.36 |
$1,344.08 $1,446.88 $1,555.78 $1,942.64 |
Toc - Plan #4 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$414.78 $470.77 $530.09 $740.79 $1,125.71 |
$732.08 $788.07 $847.39 $1,058.09 |
$1,049.38 $1,105.37 $1,164.69 $1,375.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$829.56 $941.54 $1,060.18 $1,481.58 $2,251.42 |
$1,146.86 $1,258.84 $1,377.48 $1,798.88 |
$1,464.16 $1,576.14 $1,694.78 $2,116.18 |
Toc - Plan #5 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$380.88 $432.30 $486.76 $680.25 $1,033.71 |
$672.25 $723.67 $778.13 $971.62 |
$963.62 $1,015.04 $1,069.50 $1,262.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$761.76 $864.60 $973.52 $1,360.50 $2,067.42 |
$1,053.13 $1,155.97 $1,264.89 $1,651.87 |
$1,344.50 $1,447.34 $1,556.26 $1,943.24 |
Toc - Plan #6 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$268.62 $304.88 $343.29 $479.75 $729.03 |
$474.11 $510.37 $548.78 $685.24 |
$679.60 $715.86 $754.27 $890.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$537.24 $609.76 $686.58 $959.50 $1,458.06 |
$742.73 $815.25 $892.07 $1,164.99 |
$948.22 $1,020.74 $1,097.56 $1,370.48 |
Toc - Plan #7 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 5300 HSA |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$296.52 $336.55 $378.95 $529.58 $804.75 |
$523.36 $563.39 $605.79 $756.42 |
$750.20 $790.23 $832.63 $983.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$593.04 $673.10 $757.90 $1,059.16 $1,609.50 |
$819.88 $899.94 $984.74 $1,286.00 |
$1,046.72 $1,126.78 $1,211.58 $1,512.84 |
Toc - Plan #8 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$279.77 $317.54 $357.54 $499.66 $759.29 |
$493.79 $531.56 $571.56 $713.68 |
$707.81 $745.58 $785.58 $927.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$559.54 $635.08 $715.08 $999.32 $1,518.58 |
$773.56 $849.10 $929.10 $1,213.34 |
$987.58 $1,063.12 $1,143.12 $1,427.36 |
Toc - Plan #9 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$312.20 $354.34 $398.99 $557.58 $847.30 |
$551.03 $593.17 $637.82 $796.41 |
$789.86 $832.00 $876.65 $1,035.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$624.40 $708.68 $797.98 $1,115.16 $1,694.60 |
$863.23 $947.51 $1,036.81 $1,353.99 |
$1,102.06 $1,186.34 $1,275.64 $1,592.82 |
Toc - Plan #10 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(EPO) Catastrophic 8700 ($0 Primary Care) |
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Benefits & Coverage
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$197.53 $224.20 $252.44 $352.79 $536.09 |
$348.64 $375.31 $403.55 $503.90 |
$499.75 $526.42 $554.66 $655.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$395.06 $448.40 $504.88 $705.58 $1,072.18 |
$546.17 $599.51 $655.99 $856.69 |
$697.28 $750.62 $807.10 $1,007.80 |
Toc - Plan #11 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Super Gold 10 + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$364.36 $413.54 $465.65 $650.74 $988.86 |
$643.09 $692.27 $744.38 $929.47 |
$921.82 $971.00 $1,023.11 $1,208.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$728.72 $827.08 $931.30 $1,301.48 $1,977.72 |
$1,007.45 $1,105.81 $1,210.03 $1,580.21 |
$1,286.18 $1,384.54 $1,488.76 $1,858.94 |
Toc - Plan #12 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 50 + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$354.18 $401.99 $452.64 $632.56 $961.24 |
$625.13 $672.94 $723.59 $903.51 |
$896.08 $943.89 $994.54 $1,174.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$708.36 $803.98 $905.28 $1,265.12 $1,922.48 |
$979.31 $1,074.93 $1,176.23 $1,536.07 |
$1,250.26 $1,345.88 $1,447.18 $1,807.02 |
Toc - Plan #13 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 30 + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$362.04 $410.91 $462.69 $646.60 $982.57 |
$639.00 $687.87 $739.65 $923.56 |
$915.96 $964.83 $1,016.61 $1,200.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724.08 $821.82 $925.38 $1,293.20 $1,965.14 |
$1,001.04 $1,098.78 $1,202.34 $1,570.16 |
$1,278.00 $1,375.74 $1,479.30 $1,847.12 |
Toc - Plan #14 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver $0 Deductible + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription Li |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$394.17 $447.38 $503.74 $703.98 $1,069.77 |
$695.71 $748.92 $805.28 $1,005.52 |
$997.25 $1,050.46 $1,106.82 $1,307.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$788.34 $894.76 $1,007.48 $1,407.96 $2,139.54 |
$1,089.88 $1,196.30 $1,309.02 $1,709.50 |
$1,391.42 $1,497.84 $1,610.56 $2,011.04 |
Toc - Plan #15 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 67 + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescripti |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$362.15 $411.04 $462.83 $646.80 $982.88 |
$639.19 $688.08 $739.87 $923.84 |
$916.23 $965.12 $1,016.91 $1,200.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724.30 $822.08 $925.66 $1,293.60 $1,965.76 |
$1,001.34 $1,099.12 $1,202.70 $1,570.64 |
$1,278.38 $1,376.16 $1,479.74 $1,847.68 |
Toc - Plan #16 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 87 + $0 Mental Health + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$256.12 $290.70 $327.32 $457.43 $695.11 |
$452.05 $486.63 $523.25 $653.36 |
$647.98 $682.56 $719.18 $849.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$512.24 $581.40 $654.64 $914.86 $1,390.22 |
$708.17 $777.33 $850.57 $1,110.79 |
$904.10 $973.26 $1,046.50 $1,306.72 |
Toc - Plan #17 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 72 + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$266.65 $302.65 $340.78 $476.24 $723.69 |
$470.64 $506.64 $544.77 $680.23 |
$674.63 $710.63 $748.76 $884.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$533.30 $605.30 $681.56 $952.48 $1,447.38 |
$737.29 $809.29 $885.55 $1,156.47 |
$941.28 $1,013.28 $1,089.54 $1,360.46 |
Toc - Plan #18 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze $0 Medical Deductible + Adult Dental ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Hea |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$297.28 $337.41 $379.92 $530.94 $806.82 |
$524.70 $564.83 $607.34 $758.36 |
$752.12 $792.25 $834.76 $985.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$594.56 $674.82 $759.84 $1,061.88 $1,613.64 |
$821.98 $902.24 $987.26 $1,289.30 |
$1,049.40 $1,129.66 $1,214.68 $1,516.72 |
Toc - Plan #19 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(EPO) Super Catastrophic 87 + Adult Dental ($0 Primary Care) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$188.98 $214.49 $241.51 $337.52 $512.89 |
$333.55 $359.06 $386.08 $482.09 |
$478.12 $503.63 $530.65 $626.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$377.96 $428.98 $483.02 $675.04 $1,025.78 |
$522.53 $573.55 $627.59 $819.61 |
$667.10 $718.12 $772.16 $964.18 |
Toc - Plan #20 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$283.81 $322.13 $362.71 $506.89 $770.27 |
$500.93 $539.25 $579.83 $724.01 |
$718.05 $756.37 $796.95 $941.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$567.62 $644.26 $725.42 $1,013.78 $1,540.54 |
$784.74 $861.38 $942.54 $1,230.90 |
$1,001.86 $1,078.50 $1,159.66 $1,448.02 |
Toc - Plan #21 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Presc |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$384.93 $436.89 $491.93 $687.48 $1,044.69 |
$679.40 $731.36 $786.40 $981.95 |
$973.87 $1,025.83 $1,080.87 $1,276.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$769.86 $873.78 $983.86 $1,374.96 $2,089.38 |
$1,064.33 $1,168.25 $1,278.33 $1,669.43 |
$1,358.80 $1,462.72 $1,572.80 $1,963.90 |
Toc - Plan #22 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription L |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.02 $471.04 $530.39 $741.22 $1,126.35 |
$732.51 $788.53 $847.88 $1,058.71 |
$1,050.00 $1,106.02 $1,165.37 $1,376.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.04 $942.08 $1,060.78 $1,482.44 $2,252.70 |
$1,147.53 $1,259.57 $1,378.27 $1,799.93 |
$1,465.02 $1,577.06 $1,695.76 $2,117.42 |
Toc - Plan #23 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 50 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.76 $399.25 $449.55 $628.25 $954.68 |
$620.86 $668.35 $718.65 $897.35 |
$889.96 $937.45 $987.75 $1,166.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.52 $798.50 $899.10 $1,256.50 $1,909.36 |
$972.62 $1,067.60 $1,168.20 $1,525.60 |
$1,241.72 $1,336.70 $1,437.30 $1,794.70 |
Toc - Plan #24 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 87 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.71 $287.96 $324.24 $453.12 $688.56 |
$447.79 $482.04 $518.32 $647.20 |
$641.87 $676.12 $712.40 $841.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507.42 $575.92 $648.48 $906.24 $1,377.12 |
$701.50 $770.00 $842.56 $1,100.32 |
$895.58 $964.08 $1,036.64 $1,294.40 |
Toc - Plan #25 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Super Gold Ded + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.20 $445.15 $501.23 $700.47 $1,064.43 |
$692.23 $745.18 $801.26 $1,000.50 |
$992.26 $1,045.21 $1,101.29 $1,300.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.40 $890.30 $1,002.46 $1,400.94 $2,128.86 |
$1,084.43 $1,190.33 $1,302.49 $1,700.97 |
$1,384.46 $1,490.36 $1,602.52 $2,001.00 |
Toc - Plan #26 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.91 $299.54 $337.28 $471.35 $716.26 |
$465.80 $501.43 $539.17 $673.24 |
$667.69 $703.32 $741.06 $875.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$527.82 $599.08 $674.56 $942.70 $1,432.52 |
$729.71 $800.97 $876.45 $1,144.59 |
$931.60 $1,002.86 $1,078.34 $1,346.48 |
Toc - Plan #27 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 4000 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.15 $401.96 $452.61 $632.52 $961.17 |
$625.08 $672.89 $723.54 $903.45 |
$896.01 $943.82 $994.47 $1,174.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.30 $803.92 $905.22 $1,265.04 $1,922.34 |
$979.23 $1,074.85 $1,176.15 $1,535.97 |
$1,250.16 $1,345.78 $1,447.08 $1,806.90 |
Toc - Plan #28 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 72 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.28 $304.50 $342.86 $479.15 $728.12 |
$473.52 $509.74 $548.10 $684.39 |
$678.76 $714.98 $753.34 $889.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.56 $609.00 $685.72 $958.30 $1,456.24 |
$741.80 $814.24 $890.96 $1,163.54 |
$947.04 $1,019.48 $1,096.20 $1,368.78 |
Toc - Plan #29 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 87 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.26 $282.91 $318.56 $445.18 $676.49 |
$439.94 $473.59 $509.24 $635.86 |
$630.62 $664.27 $699.92 $826.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$498.52 $565.82 $637.12 $890.36 $1,352.98 |
$689.20 $756.50 $827.80 $1,081.04 |
$879.88 $947.18 $1,018.48 $1,271.72 |
Toc - Plan #30 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 40 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.49 $379.65 $427.48 $597.41 $907.82 |
$590.38 $635.54 $683.37 $853.30 |
$846.27 $891.43 $939.26 $1,109.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.98 $759.30 $854.96 $1,194.82 $1,815.64 |
$924.87 $1,015.19 $1,110.85 $1,450.71 |
$1,180.76 $1,271.08 $1,366.74 $1,706.60 |
Toc - Plan #31 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 67 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 P |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.78 $412.89 $464.91 $649.71 $987.30 |
$642.07 $691.18 $743.20 $928.00 |
$920.36 $969.47 $1,021.49 $1,206.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.56 $825.78 $929.82 $1,299.42 $1,974.60 |
$1,005.85 $1,104.07 $1,208.11 $1,577.71 |
$1,284.14 $1,382.36 $1,486.40 $1,856.00 |
Toc - Plan #32 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescr |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.87 $334.67 $376.84 $526.63 $800.27 |
$520.44 $560.24 $602.41 $752.20 |
$746.01 $785.81 $827.98 $977.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.74 $669.34 $753.68 $1,053.26 $1,600.54 |
$815.31 $894.91 $979.25 $1,278.83 |
$1,040.88 $1,120.48 $1,204.82 $1,504.40 |
Toc - Plan #33 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Super Silver 50 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription Lis |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.81 $403.84 $454.72 $635.47 $965.66 |
$628.00 $676.03 $726.91 $907.66 |
$900.19 $948.22 $999.10 $1,179.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.62 $807.68 $909.44 $1,270.94 $1,931.32 |
$983.81 $1,079.87 $1,181.63 $1,543.13 |
$1,256.00 $1,352.06 $1,453.82 $1,815.32 |
Toc - Plan #34 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze 87 + $0 MH + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$257.75 $292.55 $329.41 $460.34 $699.54 |
$454.93 $489.73 $526.59 $657.52 |
$652.11 $686.91 $723.77 $854.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$515.50 $585.10 $658.82 $920.68 $1,399.08 |
$712.68 $782.28 $856.00 $1,117.86 |
$909.86 $979.46 $1,053.18 $1,315.04 |
Toc - Plan #35 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Super Bronze $0 Medical Ded + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental H |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-521-9335
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.91 $339.26 $382.01 $533.86 $811.25 |
$527.58 $567.93 $610.68 $762.53 |
$756.25 $796.60 $839.35 $991.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.82 $678.52 $764.02 $1,067.72 $1,622.50 |
$826.49 $907.19 $992.69 $1,296.39 |
$1,055.16 $1,135.86 $1,221.36 $1,525.06 |
ADVERTISEMENT
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #36 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$710.09 $805.95 $907.50 $1,268.22 $1,927.18 |
$1,253.31 $1,349.17 $1,450.72 $1,811.44 |
$1,796.53 $1,892.39 $1,993.94 $2,354.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,420.18 $1,611.90 $1,815.00 $2,536.44 $3,854.36 |
$1,963.40 $2,155.12 $2,358.22 $3,079.66 |
$2,506.62 $2,698.34 $2,901.44 $3,622.88 |
Toc - Plan #37 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.02 $502.83 $566.18 $791.23 $1,202.36 |
$781.93 $841.74 $905.09 $1,130.14 |
$1,120.84 $1,180.65 $1,244.00 $1,469.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.04 $1,005.66 $1,132.36 $1,582.46 $2,404.72 |
$1,224.95 $1,344.57 $1,471.27 $1,921.37 |
$1,563.86 $1,683.48 $1,810.18 $2,260.28 |
Toc - Plan #38 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$726.64 $824.74 $928.65 $1,297.78 $1,972.10 |
$1,282.52 $1,380.62 $1,484.53 $1,853.66 |
$1,838.40 $1,936.50 $2,040.41 $2,409.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,453.28 $1,649.48 $1,857.30 $2,595.56 $3,944.20 |
$2,009.16 $2,205.36 $2,413.18 $3,151.44 |
$2,565.04 $2,761.24 $2,969.06 $3,707.32 |
Toc - Plan #39 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$885.21 $1,004.71 $1,131.30 $1,580.99 $2,402.46 |
$1,562.40 $1,681.90 $1,808.49 $2,258.18 |
$2,239.59 $2,359.09 $2,485.68 $2,935.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,770.42 $2,009.42 $2,262.60 $3,161.98 $4,804.92 |
$2,447.61 $2,686.61 $2,939.79 $3,839.17 |
$3,124.80 $3,363.80 $3,616.98 $4,516.36 |
Toc - Plan #40 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$476.01 $540.27 $608.34 $850.15 $1,291.89 |
$840.16 $904.42 $972.49 $1,214.30 |
$1,204.31 $1,268.57 $1,336.64 $1,578.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$952.02 $1,080.54 $1,216.68 $1,700.30 $2,583.78 |
$1,316.17 $1,444.69 $1,580.83 $2,064.45 |
$1,680.32 $1,808.84 $1,944.98 $2,428.60 |
Toc - Plan #41 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$933.85 $1,059.92 $1,193.46 $1,667.86 $2,534.47 |
$1,648.25 $1,774.32 $1,907.86 $2,382.26 |
$2,362.65 $2,488.72 $2,622.26 $3,096.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,867.70 $2,119.84 $2,386.92 $3,335.72 $5,068.94 |
$2,582.10 $2,834.24 $3,101.32 $4,050.12 |
$3,296.50 $3,548.64 $3,815.72 $4,764.52 |
Toc - Plan #42 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$656.23 $744.82 $838.66 $1,172.03 $1,781.01 |
$1,158.25 $1,246.84 $1,340.68 $1,674.05 |
$1,660.27 $1,748.86 $1,842.70 $2,176.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,312.46 $1,489.64 $1,677.32 $2,344.06 $3,562.02 |
$1,814.48 $1,991.66 $2,179.34 $2,846.08 |
$2,316.50 $2,493.68 $2,681.36 $3,348.10 |
Toc - Plan #43 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$749.13 $850.26 $957.39 $1,337.95 $2,033.14 |
$1,322.21 $1,423.34 $1,530.47 $1,911.03 |
$1,895.29 $1,996.42 $2,103.55 $2,484.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,498.26 $1,700.52 $1,914.78 $2,675.90 $4,066.28 |
$2,071.34 $2,273.60 $2,487.86 $3,248.98 |
$2,644.42 $2,846.68 $3,060.94 $3,822.06 |
Toc - Plan #44 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.82 $525.30 $591.48 $826.60 $1,256.09 |
$816.88 $879.36 $945.54 $1,180.66 |
$1,170.94 $1,233.42 $1,299.60 $1,534.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$925.64 $1,050.60 $1,182.96 $1,653.20 $2,512.18 |
$1,279.70 $1,404.66 $1,537.02 $2,007.26 |
$1,633.76 $1,758.72 $1,891.08 $2,361.32 |
Toc - Plan #45 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$721.78 $819.22 $922.43 $1,289.10 $1,958.91 |
$1,273.94 $1,371.38 $1,474.59 $1,841.26 |
$1,826.10 $1,923.54 $2,026.75 $2,393.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,443.56 $1,638.44 $1,844.86 $2,578.20 $3,917.82 |
$1,995.72 $2,190.60 $2,397.02 $3,130.36 |
$2,547.88 $2,742.76 $2,949.18 $3,682.52 |
Toc - Plan #46 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.41 $539.59 $607.57 $849.08 $1,290.26 |
$839.10 $903.28 $971.26 $1,212.77 |
$1,202.79 $1,266.97 $1,334.95 $1,576.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.82 $1,079.18 $1,215.14 $1,698.16 $2,580.52 |
$1,314.51 $1,442.87 $1,578.83 $2,061.85 |
$1,678.20 $1,806.56 $1,942.52 $2,425.54 |
Toc - Plan #47 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$723.70 $821.40 $924.89 $1,292.53 $1,964.12 |
$1,277.33 $1,375.03 $1,478.52 $1,846.16 |
$1,830.96 $1,928.66 $2,032.15 $2,399.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,447.40 $1,642.80 $1,849.78 $2,585.06 $3,928.24 |
$2,001.03 $2,196.43 $2,403.41 $3,138.69 |
$2,554.66 $2,750.06 $2,957.04 $3,692.32 |
Toc - Plan #48 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $30 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$506.60 $574.99 $647.43 $904.79 $1,374.91 |
$894.15 $962.54 $1,034.98 $1,292.34 |
$1,281.70 $1,350.09 $1,422.53 $1,679.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,013.20 $1,149.98 $1,294.86 $1,809.58 $2,749.82 |
$1,400.75 $1,537.53 $1,682.41 $2,197.13 |
$1,788.30 $1,925.08 $2,069.96 $2,584.68 |
Toc - Plan #49 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.97 $524.34 $590.40 $825.08 $1,253.79 |
$815.38 $877.75 $943.81 $1,178.49 |
$1,168.79 $1,231.16 $1,297.22 $1,531.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.94 $1,048.68 $1,180.80 $1,650.16 $2,507.58 |
$1,277.35 $1,402.09 $1,534.21 $2,003.57 |
$1,630.76 $1,755.50 $1,887.62 $2,356.98 |
Toc - Plan #50 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.63 $377.54 $425.10 $594.08 $902.76 |
$587.09 $632.00 $679.56 $848.54 |
$841.55 $886.46 $934.02 $1,103.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.26 $755.08 $850.20 $1,188.16 $1,805.52 |
$919.72 $1,009.54 $1,104.66 $1,442.62 |
$1,174.18 $1,264.00 $1,359.12 $1,697.08 |
Toc - Plan #51 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.75 $536.57 $604.17 $844.33 $1,283.04 |
$834.40 $898.22 $965.82 $1,205.98 |
$1,196.05 $1,259.87 $1,327.47 $1,567.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945.50 $1,073.14 $1,208.34 $1,688.66 $2,566.08 |
$1,307.15 $1,434.79 $1,569.99 $2,050.31 |
$1,668.80 $1,796.44 $1,931.64 $2,411.96 |
Toc - Plan #52 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$577.57 $655.54 $738.13 $1,031.54 $1,567.52 |
$1,019.41 $1,097.38 $1,179.97 $1,473.38 |
$1,461.25 $1,539.22 $1,621.81 $1,915.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,155.14 $1,311.08 $1,476.26 $2,063.08 $3,135.04 |
$1,596.98 $1,752.92 $1,918.10 $2,504.92 |
$2,038.82 $2,194.76 $2,359.94 $2,946.76 |
Toc - Plan #53 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.37 $405.61 $456.72 $638.26 $969.90 |
$630.76 $679.00 $730.11 $911.65 |
$904.15 $952.39 $1,003.50 $1,185.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.74 $811.22 $913.44 $1,276.52 $1,939.80 |
$988.13 $1,084.61 $1,186.83 $1,549.91 |
$1,261.52 $1,358.00 $1,460.22 $1,823.30 |
Toc - Plan #54 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$608.90 $691.10 $778.17 $1,087.50 $1,652.55 |
$1,074.71 $1,156.91 $1,243.98 $1,553.31 |
$1,540.52 $1,622.72 $1,709.79 $2,019.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,217.80 $1,382.20 $1,556.34 $2,175.00 $3,305.10 |
$1,683.61 $1,848.01 $2,022.15 $2,640.81 |
$2,149.42 $2,313.82 $2,487.96 $3,106.62 |
Toc - Plan #55 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.96 $484.60 $545.65 $762.55 $1,158.77 |
$753.58 $811.22 $872.27 $1,089.17 |
$1,080.20 $1,137.84 $1,198.89 $1,415.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.92 $969.20 $1,091.30 $1,525.10 $2,317.54 |
$1,180.54 $1,295.82 $1,417.92 $1,851.72 |
$1,507.16 $1,622.44 $1,744.54 $2,178.34 |
Toc - Plan #56 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.72 $562.64 $633.53 $885.36 $1,345.38 |
$874.95 $941.87 $1,012.76 $1,264.59 |
$1,254.18 $1,321.10 $1,391.99 $1,643.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$991.44 $1,125.28 $1,267.06 $1,770.72 $2,690.76 |
$1,370.67 $1,504.51 $1,646.29 $2,149.95 |
$1,749.90 $1,883.74 $2,025.52 $2,529.18 |
Toc - Plan #57 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.45 $394.36 $444.04 $620.55 $942.98 |
$613.25 $660.16 $709.84 $886.35 |
$879.05 $925.96 $975.64 $1,152.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.90 $788.72 $888.08 $1,241.10 $1,885.96 |
$960.70 $1,054.52 $1,153.88 $1,506.90 |
$1,226.50 $1,320.32 $1,419.68 $1,772.70 |
Toc - Plan #58 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.60 $533.00 $600.15 $838.71 $1,274.49 |
$828.84 $892.24 $959.39 $1,197.95 |
$1,188.08 $1,251.48 $1,318.63 $1,557.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$939.20 $1,066.00 $1,200.30 $1,677.42 $2,548.98 |
$1,298.44 $1,425.24 $1,559.54 $2,036.66 |
$1,657.68 $1,784.48 $1,918.78 $2,395.90 |
Toc - Plan #59 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.94 $405.13 $456.17 $637.49 $968.74 |
$630.00 $678.19 $729.23 $910.55 |
$903.06 $951.25 $1,002.29 $1,183.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.88 $810.26 $912.34 $1,274.98 $1,937.48 |
$986.94 $1,083.32 $1,185.40 $1,548.04 |
$1,260.00 $1,356.38 $1,458.46 $1,821.10 |
Toc - Plan #60 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.64 $544.39 $612.98 $856.64 $1,301.74 |
$846.56 $911.31 $979.90 $1,223.56 |
$1,213.48 $1,278.23 $1,346.82 $1,590.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$959.28 $1,088.78 $1,225.96 $1,713.28 $2,603.48 |
$1,326.20 $1,455.70 $1,592.88 $2,080.20 |
$1,693.12 $1,822.62 $1,959.80 $2,447.12 |
Toc - Plan #61 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.99 $431.29 $485.63 $678.66 $1,031.29 |
$670.68 $721.98 $776.32 $969.35 |
$961.37 $1,012.67 $1,067.01 $1,260.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.98 $862.58 $971.26 $1,357.32 $2,062.58 |
$1,050.67 $1,153.27 $1,261.95 $1,648.01 |
$1,341.36 $1,443.96 $1,552.64 $1,938.70 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #62 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.16 $418.99 $471.78 $659.32 $1,001.90 |
$651.57 $701.40 $754.19 $941.73 |
$933.98 $983.81 $1,036.60 $1,224.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.32 $837.98 $943.56 $1,318.64 $2,003.80 |
$1,020.73 $1,120.39 $1,225.97 $1,601.05 |
$1,303.14 $1,402.80 $1,508.38 $1,883.46 |
Toc - Plan #63 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.26 $408.89 $460.41 $643.42 $977.73 |
$635.86 $684.49 $736.01 $919.02 |
$911.46 $960.09 $1,011.61 $1,194.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.52 $817.78 $920.82 $1,286.84 $1,955.46 |
$996.12 $1,093.38 $1,196.42 $1,562.44 |
$1,271.72 $1,368.98 $1,472.02 $1,838.04 |
Toc - Plan #64 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.21 $385.00 $433.51 $605.82 $920.61 |
$598.70 $644.49 $693.00 $865.31 |
$858.19 $903.98 $952.49 $1,124.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.42 $770.00 $867.02 $1,211.64 $1,841.22 |
$937.91 $1,029.49 $1,126.51 $1,471.13 |
$1,197.40 $1,288.98 $1,386.00 $1,730.62 |
Toc - Plan #65 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.36 $386.30 $434.97 $607.88 $923.73 |
$600.73 $646.67 $695.34 $868.25 |
$861.10 $907.04 $955.71 $1,128.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.72 $772.60 $869.94 $1,215.76 $1,847.46 |
$941.09 $1,032.97 $1,130.31 $1,476.13 |
$1,201.46 $1,293.34 $1,390.68 $1,736.50 |
Toc - Plan #66 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.46 $380.75 $428.72 $599.14 $910.45 |
$592.09 $637.38 $685.35 $855.77 |
$848.72 $894.01 $941.98 $1,112.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.92 $761.50 $857.44 $1,198.28 $1,820.90 |
$927.55 $1,018.13 $1,114.07 $1,454.91 |
$1,184.18 $1,274.76 $1,370.70 $1,711.54 |
Toc - Plan #67 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.83 $308.52 $347.39 $485.48 $737.74 |
$479.78 $516.47 $555.34 $693.43 |
$687.73 $724.42 $763.29 $901.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.66 $617.04 $694.78 $970.96 $1,475.48 |
$751.61 $824.99 $902.73 $1,178.91 |
$959.56 $1,032.94 $1,110.68 $1,386.86 |
Toc - Plan #68 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.99 $295.09 $332.27 $464.34 $705.61 |
$458.88 $493.98 $531.16 $663.23 |
$657.77 $692.87 $730.05 $862.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.98 $590.18 $664.54 $928.68 $1,411.22 |
$718.87 $789.07 $863.43 $1,127.57 |
$917.76 $987.96 $1,062.32 $1,326.46 |
Toc - Plan #69 AvMed | ||||||||||||||||||||
Catastrophic
(HMO) AvMed Entrust Catastrophic 100 (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.39 $271.70 $305.94 $427.54 $649.69 |
$422.52 $454.83 $489.07 $610.67 |
$605.65 $637.96 $672.20 $793.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$478.78 $543.40 $611.88 $855.08 $1,299.38 |
$661.91 $726.53 $795.01 $1,038.21 |
$845.04 $909.66 $978.14 $1,221.34 |
Toc - Plan #70 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.96 $423.31 $476.64 $666.10 $1,012.21 |
$658.27 $708.62 $761.95 $951.41 |
$943.58 $993.93 $1,047.26 $1,236.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.92 $846.62 $953.28 $1,332.20 $2,024.42 |
$1,031.23 $1,131.93 $1,238.59 $1,617.51 |
$1,316.54 $1,417.24 $1,523.90 $1,902.82 |
Toc - Plan #71 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.06 $413.21 $465.27 $650.22 $988.07 |
$642.57 $691.72 $743.78 $928.73 |
$921.08 $970.23 $1,022.29 $1,207.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.12 $826.42 $930.54 $1,300.44 $1,976.14 |
$1,006.63 $1,104.93 $1,209.05 $1,578.95 |
$1,285.14 $1,383.44 $1,487.56 $1,857.46 |
Toc - Plan #72 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.01 $389.31 $438.36 $612.61 $930.92 |
$605.41 $651.71 $700.76 $875.01 |
$867.81 $914.11 $963.16 $1,137.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.02 $778.62 $876.72 $1,225.22 $1,861.84 |
$948.42 $1,041.02 $1,139.12 $1,487.62 |
$1,210.82 $1,303.42 $1,401.52 $1,750.02 |
Toc - Plan #73 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.16 $390.62 $439.83 $614.66 $934.04 |
$607.44 $653.90 $703.11 $877.94 |
$870.72 $917.18 $966.39 $1,141.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.32 $781.24 $879.66 $1,229.32 $1,868.08 |
$951.60 $1,044.52 $1,142.94 $1,492.60 |
$1,214.88 $1,307.80 $1,406.22 $1,755.88 |
Toc - Plan #74 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.26 $385.06 $433.58 $605.93 $920.76 |
$598.80 $644.60 $693.12 $865.47 |
$858.34 $904.14 $952.66 $1,125.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.52 $770.12 $867.16 $1,211.86 $1,841.52 |
$938.06 $1,029.66 $1,126.70 $1,471.40 |
$1,197.60 $1,289.20 $1,386.24 $1,730.94 |
Toc - Plan #75 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 625 Dental+Vision (2022) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.19 $386.11 $434.76 $607.57 $923.27 |
$600.43 $646.35 $695.00 $867.81 |
$860.67 $906.59 $955.24 $1,128.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.38 $772.22 $869.52 $1,215.14 $1,846.54 |
$940.62 $1,032.46 $1,129.76 $1,475.38 |
$1,200.86 $1,292.70 $1,390.00 $1,735.62 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #76 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.50 $447.75 $504.16 $704.56 $1,070.65 |
$696.29 $749.54 $805.95 $1,006.35 |
$998.08 $1,051.33 $1,107.74 $1,308.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.00 $895.50 $1,008.32 $1,409.12 $2,141.30 |
$1,090.79 $1,197.29 $1,310.11 $1,710.91 |
$1,392.58 $1,499.08 $1,611.90 $2,012.70 |
Toc - Plan #77 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.56 $315.02 $354.71 $495.71 $753.28 |
$489.89 $527.35 $567.04 $708.04 |
$702.22 $739.68 $779.37 $920.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555.12 $630.04 $709.42 $991.42 $1,506.56 |
$767.45 $842.37 $921.75 $1,203.75 |
$979.78 $1,054.70 $1,134.08 $1,416.08 |
Toc - Plan #78 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.22 $346.41 $390.05 $545.10 $828.33 |
$538.70 $579.89 $623.53 $778.58 |
$772.18 $813.37 $857.01 $1,012.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.44 $692.82 $780.10 $1,090.20 $1,656.66 |
$843.92 $926.30 $1,013.58 $1,323.68 |
$1,077.40 $1,159.78 $1,247.06 $1,557.16 |
Toc - Plan #79 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.87 $440.22 $495.69 $692.72 $1,052.65 |
$684.58 $736.93 $792.40 $989.43 |
$981.29 $1,033.64 $1,089.11 $1,286.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.74 $880.44 $991.38 $1,385.44 $2,105.30 |
$1,072.45 $1,177.15 $1,288.09 $1,682.15 |
$1,369.16 $1,473.86 $1,584.80 $1,978.86 |
Toc - Plan #80 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.52 $434.15 $488.84 $683.16 $1,038.13 |
$675.14 $726.77 $781.46 $975.78 |
$967.76 $1,019.39 $1,074.08 $1,268.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.04 $868.30 $977.68 $1,366.32 $2,076.26 |
$1,057.66 $1,160.92 $1,270.30 $1,658.94 |
$1,350.28 $1,453.54 $1,562.92 $1,951.56 |
Toc - Plan #81 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.77 $448.06 $504.51 $705.05 $1,071.39 |
$696.76 $750.05 $806.50 $1,007.04 |
$998.75 $1,052.04 $1,108.49 $1,309.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.54 $896.12 $1,009.02 $1,410.10 $2,142.78 |
$1,091.53 $1,198.11 $1,311.01 $1,712.09 |
$1,393.52 $1,500.10 $1,613.00 $2,014.08 |
Toc - Plan #82 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.06 $429.08 $483.14 $675.19 $1,026.02 |
$667.27 $718.29 $772.35 $964.40 |
$956.48 $1,007.50 $1,061.56 $1,253.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.12 $858.16 $966.28 $1,350.38 $2,052.04 |
$1,045.33 $1,147.37 $1,255.49 $1,639.59 |
$1,334.54 $1,436.58 $1,544.70 $1,928.80 |
Toc - Plan #83 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.92 $342.67 $385.84 $539.21 $819.38 |
$532.88 $573.63 $616.80 $770.17 |
$763.84 $804.59 $847.76 $1,001.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.84 $685.34 $771.68 $1,078.42 $1,638.76 |
$834.80 $916.30 $1,002.64 $1,309.38 |
$1,065.76 $1,147.26 $1,233.60 $1,540.34 |
Toc - Plan #84 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.86 $366.44 $412.61 $576.62 $876.23 |
$569.84 $613.42 $659.59 $823.60 |
$816.82 $860.40 $906.57 $1,070.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.72 $732.88 $825.22 $1,153.24 $1,752.46 |
$892.70 $979.86 $1,072.20 $1,400.22 |
$1,139.68 $1,226.84 $1,319.18 $1,647.20 |
Toc - Plan #85 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.71 $376.48 $423.91 $592.41 $900.23 |
$585.46 $630.23 $677.66 $846.16 |
$839.21 $883.98 $931.41 $1,099.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.42 $752.96 $847.82 $1,184.82 $1,800.46 |
$917.17 $1,006.71 $1,101.57 $1,438.57 |
$1,170.92 $1,260.46 $1,355.32 $1,692.32 |
Toc - Plan #86 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.95 $399.46 $449.78 $628.57 $955.18 |
$621.19 $668.70 $719.02 $897.81 |
$890.43 $937.94 $988.26 $1,167.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.90 $798.92 $899.56 $1,257.14 $1,910.36 |
$973.14 $1,068.16 $1,168.80 $1,526.38 |
$1,242.38 $1,337.40 $1,438.04 $1,795.62 |
Toc - Plan #87 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.89 $411.87 $463.76 $648.11 $984.86 |
$640.49 $689.47 $741.36 $925.71 |
$918.09 $967.07 $1,018.96 $1,203.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.78 $823.74 $927.52 $1,296.22 $1,969.72 |
$1,003.38 $1,101.34 $1,205.12 $1,573.82 |
$1,280.98 $1,378.94 $1,482.72 $1,851.42 |
Toc - Plan #88 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.67 $412.75 $464.75 $649.49 $986.97 |
$641.87 $690.95 $742.95 $927.69 |
$920.07 $969.15 $1,021.15 $1,205.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.34 $825.50 $929.50 $1,298.98 $1,973.94 |
$1,005.54 $1,103.70 $1,207.70 $1,577.18 |
$1,283.74 $1,381.90 $1,485.90 $1,855.38 |
Toc - Plan #89 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.72 $419.62 $472.49 $660.30 $1,003.39 |
$652.55 $702.45 $755.32 $943.13 |
$935.38 $985.28 $1,038.15 $1,225.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.44 $839.24 $944.98 $1,320.60 $2,006.78 |
$1,022.27 $1,122.07 $1,227.81 $1,603.43 |
$1,305.10 $1,404.90 $1,510.64 $1,886.26 |
Toc - Plan #90 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.94 $418.74 $471.50 $658.91 $1,001.28 |
$651.17 $700.97 $753.73 $941.14 |
$933.40 $983.20 $1,035.96 $1,223.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.88 $837.48 $943.00 $1,317.82 $2,002.56 |
$1,020.11 $1,119.71 $1,225.23 $1,600.05 |
$1,302.34 $1,401.94 $1,507.46 $1,882.28 |
Toc - Plan #91 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.16 $449.63 $506.28 $707.52 $1,075.15 |
$699.21 $752.68 $809.33 $1,010.57 |
$1,002.26 $1,055.73 $1,112.38 $1,313.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.32 $899.26 $1,012.56 $1,415.04 $2,150.30 |
$1,095.37 $1,202.31 $1,315.61 $1,718.09 |
$1,398.42 $1,505.36 $1,618.66 $2,021.14 |
Toc - Plan #92 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.10 $358.76 $403.97 $564.54 $857.87 |
$557.91 $600.57 $645.78 $806.35 |
$799.72 $842.38 $887.59 $1,048.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.20 $717.52 $807.94 $1,129.08 $1,715.74 |
$874.01 $959.33 $1,049.75 $1,370.89 |
$1,115.82 $1,201.14 $1,291.56 $1,612.70 |
Toc - Plan #93 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.57 $463.72 $522.14 $729.69 $1,108.84 |
$721.12 $776.27 $834.69 $1,042.24 |
$1,033.67 $1,088.82 $1,147.24 $1,354.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.14 $927.44 $1,044.28 $1,459.38 $2,217.68 |
$1,129.69 $1,239.99 $1,356.83 $1,771.93 |
$1,442.24 $1,552.54 $1,669.38 $2,084.48 |
Toc - Plan #94 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.46 $326.26 $367.36 $513.39 $780.14 |
$507.36 $546.16 $587.26 $733.29 |
$727.26 $766.06 $807.16 $953.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.92 $652.52 $734.72 $1,026.78 $1,560.28 |
$794.82 $872.42 $954.62 $1,246.68 |
$1,014.72 $1,092.32 $1,174.52 $1,466.58 |
Toc - Plan #95 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.70 $455.92 $513.36 $717.42 $1,090.19 |
$709.00 $763.22 $820.66 $1,024.72 |
$1,016.30 $1,070.52 $1,127.96 $1,332.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.40 $911.84 $1,026.72 $1,434.84 $2,180.38 |
$1,110.70 $1,219.14 $1,334.02 $1,742.14 |
$1,418.00 $1,526.44 $1,641.32 $2,049.44 |
Toc - Plan #96 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.85 $464.04 $522.50 $730.19 $1,109.60 |
$721.62 $776.81 $835.27 $1,042.96 |
$1,034.39 $1,089.58 $1,148.04 $1,355.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.70 $928.08 $1,045.00 $1,460.38 $2,219.20 |
$1,130.47 $1,240.85 $1,357.77 $1,773.15 |
$1,443.24 $1,553.62 $1,670.54 $2,085.92 |
Toc - Plan #97 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.69 $354.89 $399.60 $558.44 $848.61 |
$551.89 $594.09 $638.80 $797.64 |
$791.09 $833.29 $878.00 $1,036.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.38 $709.78 $799.20 $1,116.88 $1,697.22 |
$864.58 $948.98 $1,038.40 $1,356.08 |
$1,103.78 $1,188.18 $1,277.60 $1,595.28 |
Toc - Plan #98 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.38 $379.51 $427.32 $597.18 $907.48 |
$590.17 $635.30 $683.11 $852.97 |
$845.96 $891.09 $938.90 $1,108.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.76 $759.02 $854.64 $1,194.36 $1,814.96 |
$924.55 $1,014.81 $1,110.43 $1,450.15 |
$1,180.34 $1,270.60 $1,366.22 $1,705.94 |
Toc - Plan #99 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.54 $389.90 $439.03 $613.54 $932.33 |
$606.34 $652.70 $701.83 $876.34 |
$869.14 $915.50 $964.63 $1,139.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.08 $779.80 $878.06 $1,227.08 $1,864.66 |
$949.88 $1,042.60 $1,140.86 $1,489.88 |
$1,212.68 $1,305.40 $1,403.66 $1,752.68 |
Toc - Plan #100 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.51 $413.70 $465.83 $650.99 $989.24 |
$643.35 $692.54 $744.67 $929.83 |
$922.19 $971.38 $1,023.51 $1,208.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.02 $827.40 $931.66 $1,301.98 $1,978.48 |
$1,007.86 $1,106.24 $1,210.50 $1,580.82 |
$1,286.70 $1,385.08 $1,489.34 $1,859.66 |
Toc - Plan #101 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.64 $427.47 $481.33 $672.66 $1,022.17 |
$664.76 $715.59 $769.45 $960.78 |
$952.88 $1,003.71 $1,057.57 $1,248.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.28 $854.94 $962.66 $1,345.32 $2,044.34 |
$1,041.40 $1,143.06 $1,250.78 $1,633.44 |
$1,329.52 $1,431.18 $1,538.90 $1,921.56 |
Toc - Plan #102 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.90 $434.58 $489.34 $683.85 $1,039.17 |
$675.81 $727.49 $782.25 $976.76 |
$968.72 $1,020.40 $1,075.16 $1,269.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.80 $869.16 $978.68 $1,367.70 $2,078.34 |
$1,058.71 $1,162.07 $1,271.59 $1,660.61 |
$1,351.62 $1,454.98 $1,564.50 $1,953.52 |
Toc - Plan #103 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.10 $433.67 $488.31 $682.41 $1,036.99 |
$674.40 $725.97 $780.61 $974.71 |
$966.70 $1,018.27 $1,072.91 $1,267.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.20 $867.34 $976.62 $1,364.82 $2,073.98 |
$1,056.50 $1,159.64 $1,268.92 $1,657.12 |
$1,348.80 $1,451.94 $1,561.22 $1,949.42 |
Toc - Plan #104 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.54 $444.39 $500.38 $699.27 $1,062.61 |
$691.06 $743.91 $799.90 $998.79 |
$990.58 $1,043.43 $1,099.42 $1,298.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.08 $888.78 $1,000.76 $1,398.54 $2,125.22 |
$1,082.60 $1,188.30 $1,300.28 $1,698.06 |
$1,382.12 $1,487.82 $1,599.80 $1,997.58 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #105 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2151 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$722.17 $819.66 $922.93 $1,289.80 $1,959.97 |
$1,274.63 $1,372.12 $1,475.39 $1,842.26 |
$1,827.09 $1,924.58 $2,027.85 $2,394.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,444.34 $1,639.32 $1,845.86 $2,579.60 $3,919.94 |
$1,996.80 $2,191.78 $2,398.32 $3,132.06 |
$2,549.26 $2,744.24 $2,950.78 $3,684.52 |
Toc - Plan #106 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2153 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.78 $484.40 $545.42 $762.23 $1,158.28 |
$753.27 $810.89 $871.91 $1,088.72 |
$1,079.76 $1,137.38 $1,198.40 $1,415.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.56 $968.80 $1,090.84 $1,524.46 $2,316.56 |
$1,180.05 $1,295.29 $1,417.33 $1,850.95 |
$1,506.54 $1,621.78 $1,743.82 $2,177.44 |
Toc - Plan #107 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2154 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.55 $437.60 $492.73 $688.59 $1,046.38 |
$680.50 $732.55 $787.68 $983.54 |
$975.45 $1,027.50 $1,082.63 $1,278.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.10 $875.20 $985.46 $1,377.18 $2,092.76 |
$1,066.05 $1,170.15 $1,280.41 $1,672.13 |
$1,361.00 $1,465.10 $1,575.36 $1,967.08 |
Toc - Plan #108 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2156 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$621.22 $705.08 $793.92 $1,109.50 $1,685.99 |
$1,096.45 $1,180.31 $1,269.15 $1,584.73 |
$1,571.68 $1,655.54 $1,744.38 $2,059.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,242.44 $1,410.16 $1,587.84 $2,219.00 $3,371.98 |
$1,717.67 $1,885.39 $2,063.07 $2,694.23 |
$2,192.90 $2,360.62 $2,538.30 $3,169.46 |
Toc - Plan #109 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2157 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.99 $586.78 $660.71 $923.34 $1,403.11 |
$912.49 $982.28 $1,056.21 $1,318.84 |
$1,307.99 $1,377.78 $1,451.71 $1,714.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.98 $1,173.56 $1,321.42 $1,846.68 $2,806.22 |
$1,429.48 $1,569.06 $1,716.92 $2,242.18 |
$1,824.98 $1,964.56 $2,112.42 $2,637.68 |
Toc - Plan #110 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2159 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.89 $526.52 $592.85 $828.51 $1,259.00 |
$818.77 $881.40 $947.73 $1,183.39 |
$1,173.65 $1,236.28 $1,302.61 $1,538.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.78 $1,053.04 $1,185.70 $1,657.02 $2,518.00 |
$1,282.66 $1,407.92 $1,540.58 $2,011.90 |
$1,637.54 $1,762.80 $1,895.46 $2,366.78 |
Toc - Plan #111 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.68 $335.60 $377.88 $528.08 $802.48 |
$521.88 $561.80 $604.08 $754.28 |
$748.08 $788.00 $830.28 $980.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.36 $671.20 $755.76 $1,056.16 $1,604.96 |
$817.56 $897.40 $981.96 $1,282.36 |
$1,043.76 $1,123.60 $1,208.16 $1,508.56 |
Toc - Plan #112 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.82 $298.30 $335.88 $469.40 $713.29 |
$463.88 $499.36 $536.94 $670.46 |
$664.94 $700.42 $738.00 $871.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.64 $596.60 $671.76 $938.80 $1,426.58 |
$726.70 $797.66 $872.82 $1,139.86 |
$927.76 $998.72 $1,073.88 $1,340.92 |
Toc - Plan #113 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.71 $426.43 $480.16 $671.02 $1,019.68 |
$663.13 $713.85 $767.58 $958.44 |
$950.55 $1,001.27 $1,055.00 $1,245.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.42 $852.86 $960.32 $1,342.04 $2,039.36 |
$1,038.84 $1,140.28 $1,247.74 $1,629.46 |
$1,326.26 $1,427.70 $1,535.16 $1,916.88 |
Toc - Plan #114 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.57 $403.57 $454.42 $635.05 $965.02 |
$627.58 $675.58 $726.43 $907.06 |
$899.59 $947.59 $998.44 $1,179.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.14 $807.14 $908.84 $1,270.10 $1,930.04 |
$983.15 $1,079.15 $1,180.85 $1,542.11 |
$1,255.16 $1,351.16 $1,452.86 $1,814.12 |
Toc - Plan #115 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.82 $448.12 $504.58 $705.15 $1,071.54 |
$696.86 $750.16 $806.62 $1,007.19 |
$998.90 $1,052.20 $1,108.66 $1,309.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.64 $896.24 $1,009.16 $1,410.30 $2,143.08 |
$1,091.68 $1,198.28 $1,311.20 $1,712.34 |
$1,393.72 $1,500.32 $1,613.24 $2,014.38 |
Toc - Plan #116 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.47 $438.64 $493.91 $690.24 $1,048.88 |
$682.12 $734.29 $789.56 $985.89 |
$977.77 $1,029.94 $1,085.21 $1,281.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.94 $877.28 $987.82 $1,380.48 $2,097.76 |
$1,068.59 $1,172.93 $1,283.47 $1,676.13 |
$1,364.24 $1,468.58 $1,579.12 $1,971.78 |
Toc - Plan #117 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1711S ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.00 $333.69 $375.73 $525.08 $797.92 |
$518.91 $558.60 $600.64 $749.99 |
$743.82 $783.51 $825.55 $974.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.00 $667.38 $751.46 $1,050.16 $1,595.84 |
$812.91 $892.29 $976.37 $1,275.07 |
$1,037.82 $1,117.20 $1,201.28 $1,499.98 |
Toc - Plan #118 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1712S ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.49 $434.13 $488.82 $683.13 $1,038.08 |
$675.09 $726.73 $781.42 $975.73 |
$967.69 $1,019.33 $1,074.02 $1,268.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.98 $868.26 $977.64 $1,366.26 $2,076.16 |
$1,057.58 $1,160.86 $1,270.24 $1,658.86 |
$1,350.18 $1,453.46 $1,562.84 $1,951.46 |
Toc - Plan #119 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.41 $396.58 $446.55 $624.05 $948.30 |
$616.71 $663.88 $713.85 $891.35 |
$884.01 $931.18 $981.15 $1,158.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.82 $793.16 $893.10 $1,248.10 $1,896.60 |
$966.12 $1,060.46 $1,160.40 $1,515.40 |
$1,233.42 $1,327.76 $1,427.70 $1,782.70 |
Toc - Plan #120 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.60 $387.72 $436.56 $610.10 $927.10 |
$602.92 $649.04 $697.88 $871.42 |
$864.24 $910.36 $959.20 $1,132.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.20 $775.44 $873.12 $1,220.20 $1,854.20 |
$944.52 $1,036.76 $1,134.44 $1,481.52 |
$1,205.84 $1,298.08 $1,395.76 $1,742.84 |
Toc - Plan #121 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.49 $363.76 $409.59 $572.40 $869.81 |
$565.66 $608.93 $654.76 $817.57 |
$810.83 $854.10 $899.93 $1,062.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.98 $727.52 $819.18 $1,144.80 $1,739.62 |
$886.15 $972.69 $1,064.35 $1,389.97 |
$1,131.32 $1,217.86 $1,309.52 $1,635.14 |
Toc - Plan #122 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 (3 PCP Visits for $0 / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.64 $335.55 $377.83 $528.01 $802.37 |
$521.80 $561.71 $603.99 $754.17 |
$747.96 $787.87 $830.15 $980.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.28 $671.10 $755.66 $1,056.02 $1,604.74 |
$817.44 $897.26 $981.82 $1,282.18 |
$1,043.60 $1,123.42 $1,207.98 $1,508.34 |
Toc - Plan #123 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.48 $375.09 $422.35 $590.24 $896.92 |
$583.30 $627.91 $675.17 $843.06 |
$836.12 $880.73 $927.99 $1,095.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.96 $750.18 $844.70 $1,180.48 $1,793.84 |
$913.78 $1,003.00 $1,097.52 $1,433.30 |
$1,166.60 $1,255.82 $1,350.34 $1,686.12 |
Toc - Plan #124 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.99 $326.87 $368.05 $514.35 $781.60 |
$508.30 $547.18 $588.36 $734.66 |
$728.61 $767.49 $808.67 $954.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.98 $653.74 $736.10 $1,028.70 $1,563.20 |
$796.29 $874.05 $956.41 $1,249.01 |
$1,016.60 $1,094.36 $1,176.72 $1,469.32 |
Toc - Plan #125 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.81 $327.80 $369.10 $515.81 $783.83 |
$509.75 $548.74 $590.04 $736.75 |
$730.69 $769.68 $810.98 $957.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.62 $655.60 $738.20 $1,031.62 $1,567.66 |
$798.56 $876.54 $959.14 $1,252.56 |
$1,019.50 $1,097.48 $1,180.08 $1,473.50 |
Toc - Plan #126 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Labs / $0 Virtual Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.99 $383.62 $431.95 $603.65 $917.30 |
$596.55 $642.18 $690.51 $862.21 |
$855.11 $900.74 $949.07 $1,120.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.98 $767.24 $863.90 $1,207.30 $1,834.60 |
$934.54 $1,025.80 $1,122.46 $1,465.86 |
$1,193.10 $1,284.36 $1,381.02 $1,724.42 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #127 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.88 $384.62 $433.08 $605.23 $919.70 |
$598.12 $643.86 $692.32 $864.47 |
$857.36 $903.10 $951.56 $1,123.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.76 $769.24 $866.16 $1,210.46 $1,839.40 |
$937.00 $1,028.48 $1,125.40 $1,469.70 |
$1,196.24 $1,287.72 $1,384.64 $1,728.94 |
Toc - Plan #128 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.65 $311.71 $350.99 $490.50 $745.37 |
$484.75 $521.81 $561.09 $700.60 |
$694.85 $731.91 $771.19 $910.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.30 $623.42 $701.98 $981.00 $1,490.74 |
$759.40 $833.52 $912.08 $1,191.10 |
$969.50 $1,043.62 $1,122.18 $1,401.20 |
Toc - Plan #129 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.18 $307.78 $346.56 $484.31 $735.96 |
$478.63 $515.23 $554.01 $691.76 |
$686.08 $722.68 $761.46 $899.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.36 $615.56 $693.12 $968.62 $1,471.92 |
$749.81 $823.01 $900.57 $1,176.07 |
$957.26 $1,030.46 $1,108.02 $1,383.52 |
Toc - Plan #130 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.07 $307.65 $346.41 $484.11 $735.65 |
$478.43 $515.01 $553.77 $691.47 |
$685.79 $722.37 $761.13 $898.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.14 $615.30 $692.82 $968.22 $1,471.30 |
$749.50 $822.66 $900.18 $1,175.58 |
$956.86 $1,030.02 $1,107.54 $1,382.94 |
Toc - Plan #131 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.52 $354.69 $399.38 $558.14 $848.14 |
$551.59 $593.76 $638.45 $797.21 |
$790.66 $832.83 $877.52 $1,036.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.04 $709.38 $798.76 $1,116.28 $1,696.28 |
$864.11 $948.45 $1,037.83 $1,355.35 |
$1,103.18 $1,187.52 $1,276.90 $1,594.42 |
Toc - Plan #132 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.24 $394.10 $443.75 $620.15 $942.37 |
$612.87 $659.73 $709.38 $885.78 |
$878.50 $925.36 $975.01 $1,151.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.48 $788.20 $887.50 $1,240.30 $1,884.74 |
$960.11 $1,053.83 $1,153.13 $1,505.93 |
$1,225.74 $1,319.46 $1,418.76 $1,771.56 |
Toc - Plan #133 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.33 $391.94 $441.32 $616.74 $937.20 |
$609.50 $656.11 $705.49 $880.91 |
$873.67 $920.28 $969.66 $1,145.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.66 $783.88 $882.64 $1,233.48 $1,874.40 |
$954.83 $1,048.05 $1,146.81 $1,497.65 |
$1,219.00 $1,312.22 $1,410.98 $1,761.82 |
Toc - Plan #134 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.47 $394.37 $444.06 $620.57 $943.02 |
$613.28 $660.18 $709.87 $886.38 |
$879.09 $925.99 $975.68 $1,152.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.94 $788.74 $888.12 $1,241.14 $1,886.04 |
$960.75 $1,054.55 $1,153.93 $1,506.95 |
$1,226.56 $1,320.36 $1,419.74 $1,772.76 |
Toc - Plan #135 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$207.41 $235.40 $265.05 $370.41 $562.87 |
$366.07 $394.06 $423.71 $529.07 |
$524.73 $552.72 $582.37 $687.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$414.82 $470.80 $530.10 $740.82 $1,125.74 |
$573.48 $629.46 $688.76 $899.48 |
$732.14 $788.12 $847.42 $1,058.14 |
Toc - Plan #136 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.63 $355.96 $400.81 $560.13 $851.17 |
$553.55 $595.88 $640.73 $800.05 |
$793.47 $835.80 $880.65 $1,039.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.26 $711.92 $801.62 $1,120.26 $1,702.34 |
$867.18 $951.84 $1,041.54 $1,360.18 |
$1,107.10 $1,191.76 $1,281.46 $1,600.10 |
Toc - Plan #137 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.76 $426.47 $480.20 $671.08 $1,019.77 |
$663.20 $713.91 $767.64 $958.52 |
$950.64 $1,001.35 $1,055.08 $1,245.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.52 $852.94 $960.40 $1,342.16 $2,039.54 |
$1,038.96 $1,140.38 $1,247.84 $1,629.60 |
$1,326.40 $1,427.82 $1,535.28 $1,917.04 |
Toc - Plan #138 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.42 $326.21 $367.31 $513.31 $780.02 |
$507.29 $546.08 $587.18 $733.18 |
$727.16 $765.95 $807.05 $953.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.84 $652.42 $734.62 $1,026.62 $1,560.04 |
$794.71 $872.29 $954.49 $1,246.49 |
$1,014.58 $1,092.16 $1,174.36 $1,466.36 |
Toc - Plan #139 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.97 $399.48 $449.81 $628.61 $955.23 |
$621.22 $668.73 $719.06 $897.86 |
$890.47 $937.98 $988.31 $1,167.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.94 $798.96 $899.62 $1,257.22 $1,910.46 |
$973.19 $1,068.21 $1,168.87 $1,526.47 |
$1,242.44 $1,337.46 $1,438.12 $1,795.72 |
Toc - Plan #140 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.83 $401.58 $452.18 $631.91 $960.25 |
$624.50 $672.25 $722.85 $902.58 |
$895.17 $942.92 $993.52 $1,173.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.66 $803.16 $904.36 $1,263.82 $1,920.50 |
$978.33 $1,073.83 $1,175.03 $1,534.49 |
$1,249.00 $1,344.50 $1,445.70 $1,805.16 |
Toc - Plan #141 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.08 $426.84 $480.62 $671.66 $1,020.66 |
$663.77 $714.53 $768.31 $959.35 |
$951.46 $1,002.22 $1,056.00 $1,247.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.16 $853.68 $961.24 $1,343.32 $2,041.32 |
$1,039.85 $1,141.37 $1,248.93 $1,631.01 |
$1,327.54 $1,429.06 $1,536.62 $1,918.70 |
Toc - Plan #142 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.91 $317.68 $357.71 $499.90 $759.64 |
$494.03 $531.80 $571.83 $714.02 |
$708.15 $745.92 $785.95 $928.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.82 $635.36 $715.42 $999.80 $1,519.28 |
$773.94 $849.48 $929.54 $1,213.92 |
$988.06 $1,063.60 $1,143.66 $1,428.04 |
Toc - Plan #143 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.18 $346.37 $390.01 $545.03 $828.23 |
$538.63 $579.82 $623.46 $778.48 |
$772.08 $813.27 $856.91 $1,011.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.36 $692.74 $780.02 $1,090.06 $1,656.46 |
$843.81 $926.19 $1,013.47 $1,323.51 |
$1,077.26 $1,159.64 $1,246.92 $1,556.96 |
Toc - Plan #144 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.95 $326.81 $367.99 $514.26 $781.47 |
$508.22 $547.08 $588.26 $734.53 |
$728.49 $767.35 $808.53 $954.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.90 $653.62 $735.98 $1,028.52 $1,562.94 |
$796.17 $873.89 $956.25 $1,248.79 |
$1,016.44 $1,094.16 $1,176.52 $1,469.06 |
Toc - Plan #145 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.02 $376.83 $424.30 $592.96 $901.06 |
$586.00 $630.81 $678.28 $846.94 |
$839.98 $884.79 $932.26 $1,100.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.04 $753.66 $848.60 $1,185.92 $1,802.12 |
$918.02 $1,007.64 $1,102.58 $1,439.90 |
$1,172.00 $1,261.62 $1,356.56 $1,693.88 |
Toc - Plan #146 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.85 $393.67 $443.27 $619.46 $941.34 |
$612.19 $659.01 $708.61 $884.80 |
$877.53 $924.35 $973.95 $1,150.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.70 $787.34 $886.54 $1,238.92 $1,882.68 |
$959.04 $1,052.68 $1,151.88 $1,504.26 |
$1,224.38 $1,318.02 $1,417.22 $1,769.60 |
Toc - Plan #147 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.57 $402.43 $453.13 $633.24 $962.28 |
$625.81 $673.67 $724.37 $904.48 |
$897.05 $944.91 $995.61 $1,175.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.14 $804.86 $906.26 $1,266.48 $1,924.56 |
$980.38 $1,076.10 $1,177.50 $1,537.72 |
$1,251.62 $1,347.34 $1,448.74 $1,808.96 |
Toc - Plan #148 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.99 $396.09 $445.99 $623.28 $947.13 |
$615.96 $663.06 $712.96 $890.25 |
$882.93 $930.03 $979.93 $1,157.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.98 $792.18 $891.98 $1,246.56 $1,894.26 |
$964.95 $1,059.15 $1,158.95 $1,513.53 |
$1,231.92 $1,326.12 $1,425.92 $1,780.50 |
Toc - Plan #149 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.40 $394.29 $443.97 $620.44 $942.83 |
$613.16 $660.05 $709.73 $886.20 |
$878.92 $925.81 $975.49 $1,151.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.80 $788.58 $887.94 $1,240.88 $1,885.66 |
$960.56 $1,054.34 $1,153.70 $1,506.64 |
$1,226.32 $1,320.10 $1,419.46 $1,772.40 |
Toc - Plan #150 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.65 $410.46 $462.17 $645.89 $981.49 |
$638.30 $687.11 $738.82 $922.54 |
$914.95 $963.76 $1,015.47 $1,199.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.30 $820.92 $924.34 $1,291.78 $1,962.98 |
$999.95 $1,097.57 $1,200.99 $1,568.43 |
$1,276.60 $1,374.22 $1,477.64 $1,845.08 |
Toc - Plan #151 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.50 $414.83 $467.10 $652.77 $991.95 |
$645.10 $694.43 $746.70 $932.37 |
$924.70 $974.03 $1,026.30 $1,211.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.00 $829.66 $934.20 $1,305.54 $1,983.90 |
$1,010.60 $1,109.26 $1,213.80 $1,585.14 |
$1,290.20 $1,388.86 $1,493.40 $1,864.74 |
Toc - Plan #152 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.64 $455.85 $513.28 $717.31 $1,090.02 |
$708.88 $763.09 $820.52 $1,024.55 |
$1,016.12 $1,070.33 $1,127.76 $1,331.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.28 $911.70 $1,026.56 $1,434.62 $2,180.04 |
$1,110.52 $1,218.94 $1,333.80 $1,741.86 |
$1,417.76 $1,526.18 $1,641.04 $2,049.10 |
Toc - Plan #153 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.85 $435.66 $490.55 $685.54 $1,041.74 |
$677.49 $729.30 $784.19 $979.18 |
$971.13 $1,022.94 $1,077.83 $1,272.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.70 $871.32 $981.10 $1,371.08 $2,083.48 |
$1,061.34 $1,164.96 $1,274.74 $1,664.72 |
$1,354.98 $1,458.60 $1,568.38 $1,958.36 |
Toc - Plan #154 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.86 $405.02 $456.05 $637.33 $968.49 |
$629.85 $678.01 $729.04 $910.32 |
$902.84 $951.00 $1,002.03 $1,183.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.72 $810.04 $912.10 $1,274.66 $1,936.98 |
$986.71 $1,083.03 $1,185.09 $1,547.65 |
$1,259.70 $1,356.02 $1,458.08 $1,820.64 |
Toc - Plan #155 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.94 $343.82 $387.14 $541.03 $822.15 |
$534.68 $575.56 $618.88 $772.77 |
$766.42 $807.30 $850.62 $1,004.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.88 $687.64 $774.28 $1,082.06 $1,644.30 |
$837.62 $919.38 $1,006.02 $1,313.80 |
$1,069.36 $1,151.12 $1,237.76 $1,545.54 |
Toc - Plan #156 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $1000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.18 $350.91 $395.12 $552.19 $839.10 |
$545.70 $587.43 $631.64 $788.71 |
$782.22 $823.95 $868.16 $1,025.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.36 $701.82 $790.24 $1,104.38 $1,678.20 |
$854.88 $938.34 $1,026.76 $1,340.90 |
$1,091.40 $1,174.86 $1,263.28 $1,577.42 |
Toc - Plan #157 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.19 $352.05 $396.41 $553.98 $841.83 |
$547.48 $589.34 $633.70 $791.27 |
$784.77 $826.63 $870.99 $1,028.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.38 $704.10 $792.82 $1,107.96 $1,683.66 |
$857.67 $941.39 $1,030.11 $1,345.25 |
$1,094.96 $1,178.68 $1,267.40 $1,582.54 |
Toc - Plan #158 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.85 $392.53 $441.99 $617.67 $938.62 |
$610.42 $657.10 $706.56 $882.24 |
$874.99 $921.67 $971.13 $1,146.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.70 $785.06 $883.98 $1,235.34 $1,877.24 |
$956.27 $1,049.63 $1,148.55 $1,499.91 |
$1,220.84 $1,314.20 $1,413.12 $1,764.48 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #159 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8700A ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.73 $340.19 $383.05 $535.31 $813.46 |
$529.02 $569.48 $612.34 $764.60 |
$758.31 $798.77 $841.63 $993.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.46 $680.38 $766.10 $1,070.62 $1,626.92 |
$828.75 $909.67 $995.39 $1,299.91 |
$1,058.04 $1,138.96 $1,224.68 $1,529.20 |
Toc - Plan #160 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7300 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.01 $358.67 $403.86 $564.39 $857.64 |
$557.75 $600.41 $645.60 $806.13 |
$799.49 $842.15 $887.34 $1,047.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.02 $717.34 $807.72 $1,128.78 $1,715.28 |
$873.76 $959.08 $1,049.46 $1,370.52 |
$1,115.50 $1,200.82 $1,291.20 $1,612.26 |
Toc - Plan #161 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8200 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.30 $355.60 $400.40 $559.55 $850.30 |
$552.97 $595.27 $640.07 $799.22 |
$792.64 $834.94 $879.74 $1,038.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.60 $711.20 $800.80 $1,119.10 $1,700.60 |
$866.27 $950.87 $1,040.47 $1,358.77 |
$1,105.94 $1,190.54 $1,280.14 $1,598.44 |
Toc - Plan #162 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 6000 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.47 $431.83 $486.24 $679.52 $1,032.60 |
$671.53 $722.89 $777.30 $970.58 |
$962.59 $1,013.95 $1,068.36 $1,261.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.94 $863.66 $972.48 $1,359.04 $2,065.20 |
$1,052.00 $1,154.72 $1,263.54 $1,650.10 |
$1,343.06 $1,445.78 $1,554.60 $1,941.16 |
Toc - Plan #163 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.13 $438.26 $493.47 $689.63 $1,047.96 |
$681.52 $733.65 $788.86 $985.02 |
$976.91 $1,029.04 $1,084.25 $1,280.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.26 $876.52 $986.94 $1,379.26 $2,095.92 |
$1,067.65 $1,171.91 $1,282.33 $1,674.65 |
$1,363.04 $1,467.30 $1,577.72 $1,970.04 |
Toc - Plan #164 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 8700B ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.86 $442.49 $498.24 $696.29 $1,058.08 |
$688.10 $740.73 $796.48 $994.53 |
$986.34 $1,038.97 $1,094.72 $1,292.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.72 $884.98 $996.48 $1,392.58 $2,116.16 |
$1,077.96 $1,183.22 $1,294.72 $1,690.82 |
$1,376.20 $1,481.46 $1,592.96 $1,989.06 |
Toc - Plan #165 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 ($0 Tier 1 RX, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.64 $452.45 $509.46 $711.97 $1,081.90 |
$703.60 $757.41 $814.42 $1,016.93 |
$1,008.56 $1,062.37 $1,119.38 $1,321.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.28 $904.90 $1,018.92 $1,423.94 $2,163.80 |
$1,102.24 $1,209.86 $1,323.88 $1,728.90 |
$1,407.20 $1,514.82 $1,628.84 $2,033.86 |
Toc - Plan #166 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2000 ($0 Tier 1 RX, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.22 $490.57 $552.38 $771.95 $1,173.05 |
$762.87 $821.22 $883.03 $1,102.60 |
$1,093.52 $1,151.87 $1,213.68 $1,433.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$864.44 $981.14 $1,104.76 $1,543.90 $2,346.10 |
$1,195.09 $1,311.79 $1,435.41 $1,874.55 |
$1,525.74 $1,642.44 $1,766.06 $2,205.20 |
Toc - Plan #167 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8000 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.19 $354.34 $398.98 $557.58 $847.29 |
$551.02 $593.17 $637.81 $796.41 |
$789.85 $832.00 $876.64 $1,035.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.38 $708.68 $797.96 $1,115.16 $1,694.58 |
$863.21 $947.51 $1,036.79 $1,353.99 |
$1,102.04 $1,186.34 $1,275.62 $1,592.82 |
Toc - Plan #168 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.18 $355.46 $400.24 $559.33 $849.96 |
$552.76 $595.04 $639.82 $798.91 |
$792.34 $834.62 $879.40 $1,038.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.36 $710.92 $800.48 $1,118.66 $1,699.92 |
$865.94 $950.50 $1,040.06 $1,358.24 |
$1,105.52 $1,190.08 $1,279.64 $1,597.82 |
Toc - Plan #169 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 8400 ($0 Tier 1 RX, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.78 $451.48 $508.36 $710.43 $1,079.56 |
$702.08 $755.78 $812.66 $1,014.73 |
$1,006.38 $1,060.08 $1,116.96 $1,319.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.56 $902.96 $1,016.72 $1,420.86 $2,159.12 |
$1,099.86 $1,207.26 $1,321.02 $1,725.16 |
$1,404.16 $1,511.56 $1,625.32 $2,029.46 |
Toc - Plan #170 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3000 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.33 $427.13 $480.95 $672.12 $1,021.36 |
$664.22 $715.02 $768.84 $960.01 |
$952.11 $1,002.91 $1,056.73 $1,247.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.66 $854.26 $961.90 $1,344.24 $2,042.72 |
$1,040.55 $1,142.15 $1,249.79 $1,632.13 |
$1,328.44 $1,430.04 $1,537.68 $1,920.02 |
Toc - Plan #171 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 0 ($0 Deductible, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.33 $462.32 $520.57 $727.49 $1,105.50 |
$718.94 $773.93 $832.18 $1,039.10 |
$1,030.55 $1,085.54 $1,143.79 $1,350.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.66 $924.64 $1,041.14 $1,454.98 $2,211.00 |
$1,126.27 $1,236.25 $1,352.75 $1,766.59 |
$1,437.88 $1,547.86 $1,664.36 $2,078.20 |
Toc - Plan #172 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.89 $443.66 $499.55 $698.12 $1,060.87 |
$689.92 $742.69 $798.58 $997.15 |
$988.95 $1,041.72 $1,097.61 $1,296.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.78 $887.32 $999.10 $1,396.24 $2,121.74 |
$1,080.81 $1,186.35 $1,298.13 $1,695.27 |
$1,379.84 $1,485.38 $1,597.16 $1,994.30 |
Toc - Plan #173 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1250 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.69 $510.40 $574.71 $803.15 $1,220.46 |
$793.70 $854.41 $918.72 $1,147.16 |
$1,137.71 $1,198.42 $1,262.73 $1,491.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.38 $1,020.80 $1,149.42 $1,606.30 $2,440.92 |
$1,243.39 $1,364.81 $1,493.43 $1,950.31 |
$1,587.40 $1,708.82 $1,837.44 $2,294.32 |
Toc - Plan #174 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5400 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.94 $357.46 $402.49 $562.48 $854.75 |
$555.87 $598.39 $643.42 $803.41 |
$796.80 $839.32 $884.35 $1,044.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.88 $714.92 $804.98 $1,124.96 $1,709.50 |
$870.81 $955.85 $1,045.91 $1,365.89 |
$1,111.74 $1,196.78 $1,286.84 $1,606.82 |
Toc - Plan #175 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.40 $454.45 $511.71 $715.12 $1,086.69 |
$706.71 $760.76 $818.02 $1,021.43 |
$1,013.02 $1,067.07 $1,124.33 $1,327.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.80 $908.90 $1,023.42 $1,430.24 $2,173.38 |
$1,107.11 $1,215.21 $1,329.73 $1,736.55 |
$1,413.42 $1,521.52 $1,636.04 $2,042.86 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #176 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.12 $468.90 $527.97 $737.84 $1,121.22 |
$729.16 $784.94 $844.01 $1,053.88 |
$1,045.20 $1,100.98 $1,160.05 $1,369.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.24 $937.80 $1,055.94 $1,475.68 $2,242.44 |
$1,142.28 $1,253.84 $1,371.98 $1,791.72 |
$1,458.32 $1,569.88 $1,688.02 $2,107.76 |
Toc - Plan #177 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.60 $417.23 $469.80 $656.54 $997.67 |
$648.82 $698.45 $751.02 $937.76 |
$930.04 $979.67 $1,032.24 $1,218.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.20 $834.46 $939.60 $1,313.08 $1,995.34 |
$1,016.42 $1,115.68 $1,220.82 $1,594.30 |
$1,297.64 $1,396.90 $1,502.04 $1,875.52 |
Toc - Plan #178 Molina Healthcare | ||||||||||||||||||||
Bronze
(HMO) Core Care Bronze 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.52 $316.12 $355.94 $497.43 $755.90 |
$491.59 $529.19 $569.01 $710.50 |
$704.66 $742.26 $782.08 $923.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557.04 $632.24 $711.88 $994.86 $1,511.80 |
$770.11 $845.31 $924.95 $1,207.93 |
$983.18 $1,058.38 $1,138.02 $1,421.00 |
Toc - Plan #179 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.93 $413.06 $465.10 $649.97 $987.70 |
$642.33 $691.46 $743.50 $928.37 |
$920.73 $969.86 $1,021.90 $1,206.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.86 $826.12 $930.20 $1,299.94 $1,975.40 |
$1,006.26 $1,104.52 $1,208.60 $1,578.34 |
$1,284.66 $1,382.92 $1,487.00 $1,856.74 |
Toc - Plan #180 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.70 $352.64 $397.07 $554.91 $843.24 |
$548.39 $590.33 $634.76 $792.60 |
$786.08 $828.02 $872.45 $1,030.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.40 $705.28 $794.14 $1,109.82 $1,686.48 |
$859.09 $942.97 $1,031.83 $1,347.51 |
$1,096.78 $1,180.66 $1,269.52 $1,585.20 |
Toc - Plan #181 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.90 $474.31 $534.07 $746.37 $1,134.17 |
$737.59 $794.00 $853.76 $1,066.06 |
$1,057.28 $1,113.69 $1,173.45 $1,385.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835.80 $948.62 $1,068.14 $1,492.74 $2,268.34 |
$1,155.49 $1,268.31 $1,387.83 $1,812.43 |
$1,475.18 $1,588.00 $1,707.52 $2,132.12 |
Toc - Plan #182 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.71 $420.75 $473.76 $662.08 $1,006.09 |
$654.30 $704.34 $757.35 $945.67 |
$937.89 $987.93 $1,040.94 $1,229.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.42 $841.50 $947.52 $1,324.16 $2,012.18 |
$1,025.01 $1,125.09 $1,231.11 $1,607.75 |
$1,308.60 $1,408.68 $1,514.70 $1,891.34 |
Toc - Plan #183 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.58 $414.94 $467.21 $652.93 $992.19 |
$645.25 $694.61 $746.88 $932.60 |
$924.92 $974.28 $1,026.55 $1,212.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.16 $829.88 $934.42 $1,305.86 $1,984.38 |
$1,010.83 $1,109.55 $1,214.09 $1,585.53 |
$1,290.50 $1,389.22 $1,493.76 $1,865.20 |
Toc - Plan #184 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.81 $399.30 $449.61 $628.33 $954.81 |
$620.94 $668.43 $718.74 $897.46 |
$890.07 $937.56 $987.87 $1,166.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.62 $798.60 $899.22 $1,256.66 $1,909.62 |
$972.75 $1,067.73 $1,168.35 $1,525.79 |
$1,241.88 $1,336.86 $1,437.48 $1,794.92 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #185 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($1 Rx + Unlimited Free Primary Care & Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.82 $456.06 $513.52 $717.64 $1,090.53 |
$709.21 $763.45 $820.91 $1,025.03 |
$1,016.60 $1,070.84 $1,128.30 $1,332.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.64 $912.12 $1,027.04 $1,435.28 $2,181.06 |
$1,111.03 $1,219.51 $1,334.43 $1,742.67 |
$1,418.42 $1,526.90 $1,641.82 $2,050.06 |
Toc - Plan #186 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($1 Rx + Dental + Vision + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.96 $467.57 $526.48 $735.76 $1,118.06 |
$727.11 $782.72 $841.63 $1,050.91 |
$1,042.26 $1,097.87 $1,156.78 $1,366.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.92 $935.14 $1,052.96 $1,471.52 $2,236.12 |
$1,139.07 $1,250.29 $1,368.11 $1,786.67 |
$1,454.22 $1,565.44 $1,683.26 $2,101.82 |
Toc - Plan #187 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.78 $435.59 $490.47 $685.43 $1,041.58 |
$677.37 $729.18 $784.06 $979.02 |
$970.96 $1,022.77 $1,077.65 $1,272.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.56 $871.18 $980.94 $1,370.86 $2,083.16 |
$1,061.15 $1,164.77 $1,274.53 $1,664.45 |
$1,354.74 $1,458.36 $1,568.12 $1,958.04 |
Toc - Plan #188 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.09 $433.67 $488.31 $682.41 $1,037.00 |
$674.39 $725.97 $780.61 $974.71 |
$966.69 $1,018.27 $1,072.91 $1,267.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.18 $867.34 $976.62 $1,364.82 $2,074.00 |
$1,056.48 $1,159.64 $1,268.92 $1,657.12 |
$1,348.78 $1,451.94 $1,561.22 $1,949.42 |
Toc - Plan #189 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.70 $407.13 $458.42 $640.64 $973.52 |
$633.11 $681.54 $732.83 $915.05 |
$907.52 $955.95 $1,007.24 $1,189.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.40 $814.26 $916.84 $1,281.28 $1,947.04 |
$991.81 $1,088.67 $1,191.25 $1,555.69 |
$1,266.22 $1,363.08 $1,465.66 $1,830.10 |
Toc - Plan #190 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.94 $399.45 $449.78 $628.57 $955.17 |
$621.17 $668.68 $719.01 $897.80 |
$890.40 $937.91 $988.24 $1,167.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.88 $798.90 $899.56 $1,257.14 $1,910.34 |
$973.11 $1,068.13 $1,168.79 $1,526.37 |
$1,242.34 $1,337.36 $1,438.02 $1,795.60 |
Toc - Plan #191 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.86 $406.17 $457.34 $639.13 $971.23 |
$631.62 $679.93 $731.10 $912.89 |
$905.38 $953.69 $1,004.86 $1,186.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.72 $812.34 $914.68 $1,278.26 $1,942.46 |
$989.48 $1,086.10 $1,188.44 $1,552.02 |
$1,263.24 $1,359.86 $1,462.20 $1,825.78 |
Toc - Plan #192 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.14 $406.49 $457.70 $639.64 $971.99 |
$632.12 $680.47 $731.68 $913.62 |
$906.10 $954.45 $1,005.66 $1,187.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.28 $812.98 $915.40 $1,279.28 $1,943.98 |
$990.26 $1,086.96 $1,189.38 $1,553.26 |
$1,264.24 $1,360.94 $1,463.36 $1,827.24 |
Toc - Plan #193 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Base ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.23 $422.48 $475.71 $664.80 $1,010.23 |
$656.99 $707.24 $760.47 $949.56 |
$941.75 $992.00 $1,045.23 $1,234.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.46 $844.96 $951.42 $1,329.60 $2,020.46 |
$1,029.22 $1,129.72 $1,236.18 $1,614.36 |
$1,313.98 $1,414.48 $1,520.94 $1,899.12 |
Toc - Plan #194 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.61 $426.32 $480.03 $670.84 $1,019.41 |
$662.95 $713.66 $767.37 $958.18 |
$950.29 $1,001.00 $1,054.71 $1,245.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.22 $852.64 $960.06 $1,341.68 $2,038.82 |
$1,038.56 $1,139.98 $1,247.40 $1,629.02 |
$1,325.90 $1,427.32 $1,534.74 $1,916.36 |
Toc - Plan #195 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First Saver ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.53 $397.85 $447.98 $626.05 $951.34 |
$618.69 $666.01 $716.14 $894.21 |
$886.85 $934.17 $984.30 $1,162.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.06 $795.70 $895.96 $1,252.10 $1,902.68 |
$969.22 $1,063.86 $1,164.12 $1,520.26 |
$1,237.38 $1,332.02 $1,432.28 $1,788.42 |
Toc - Plan #196 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Saver ($5 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.45 $404.57 $455.54 $636.62 $967.40 |
$629.13 $677.25 $728.22 $909.30 |
$901.81 $949.93 $1,000.90 $1,181.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.90 $809.14 $911.08 $1,273.24 $1,934.80 |
$985.58 $1,081.82 $1,183.76 $1,545.92 |
$1,258.26 $1,354.50 $1,456.44 $1,818.60 |
Toc - Plan #197 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Base ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.42 $406.81 $458.06 $640.14 $972.76 |
$632.61 $681.00 $732.25 $914.33 |
$906.80 $955.19 $1,006.44 $1,188.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.84 $813.62 $916.12 $1,280.28 $1,945.52 |
$991.03 $1,087.81 $1,190.31 $1,554.47 |
$1,265.22 $1,362.00 $1,464.50 $1,828.66 |
Toc - Plan #198 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.41 $419.28 $472.11 $659.77 $1,002.58 |
$652.01 $701.88 $754.71 $942.37 |
$934.61 $984.48 $1,037.31 $1,224.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.82 $838.56 $944.22 $1,319.54 $2,005.16 |
$1,021.42 $1,121.16 $1,226.82 $1,602.14 |
$1,304.02 $1,403.76 $1,509.42 $1,884.74 |
Toc - Plan #199 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra Saver ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.69 $419.60 $472.47 $660.27 $1,003.35 |
$652.51 $702.42 $755.29 $943.09 |
$935.33 $985.24 $1,038.11 $1,225.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.38 $839.20 $944.94 $1,320.54 $2,006.70 |
$1,022.20 $1,122.02 $1,227.76 $1,603.36 |
$1,305.02 $1,404.84 $1,510.58 $1,886.18 |
Toc - Plan #200 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.78 $319.82 $360.11 $503.26 $764.75 |
$497.34 $535.38 $575.67 $718.82 |
$712.90 $750.94 $791.23 $934.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.56 $639.64 $720.22 $1,006.52 $1,529.50 |
$779.12 $855.20 $935.78 $1,222.08 |
$994.68 $1,070.76 $1,151.34 $1,437.64 |
Toc - Plan #201 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.56 $337.73 $380.28 $531.44 $807.57 |
$525.19 $565.36 $607.91 $759.07 |
$752.82 $792.99 $835.54 $986.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.12 $675.46 $760.56 $1,062.88 $1,615.14 |
$822.75 $903.09 $988.19 $1,290.51 |
$1,050.38 $1,130.72 $1,215.82 $1,518.14 |
Toc - Plan #202 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Value+ Saver ($5 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.67 $328.77 $370.20 $517.35 $786.16 |
$511.27 $550.37 $591.80 $738.95 |
$732.87 $771.97 $813.40 $960.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.34 $657.54 $740.40 $1,034.70 $1,572.32 |
$800.94 $879.14 $962.00 $1,256.30 |
$1,022.54 $1,100.74 $1,183.60 $1,477.90 |
Toc - Plan #203 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.53 $339.97 $382.80 $534.96 $812.92 |
$528.67 $569.11 $611.94 $764.10 |
$757.81 $798.25 $841.08 $993.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.06 $679.94 $765.60 $1,069.92 $1,625.84 |
$828.20 $909.08 $994.74 $1,299.06 |
$1,057.34 $1,138.22 $1,223.88 $1,528.20 |
Toc - Plan #204 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.92 $331.33 $373.08 $521.37 $792.28 |
$515.24 $554.65 $596.40 $744.69 |
$738.56 $777.97 $819.72 $968.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.84 $662.66 $746.16 $1,042.74 $1,584.56 |
$807.16 $885.98 $969.48 $1,266.06 |
$1,030.48 $1,109.30 $1,192.80 $1,489.38 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-877-941-9230 |
Toc - Plan #205 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Select Bronze: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.23 $355.51 $400.30 $559.42 $850.09 |
$552.85 $595.13 $639.92 $799.04 |
$792.47 $834.75 $879.54 $1,038.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.46 $711.02 $800.60 $1,118.84 $1,700.18 |
$866.08 $950.64 $1,040.22 $1,358.46 |
$1,105.70 $1,190.26 $1,279.84 $1,598.08 |
Toc - Plan #206 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Select Bronze: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.36 $377.21 $424.74 $593.57 $901.99 |
$586.60 $631.45 $678.98 $847.81 |
$840.84 $885.69 $933.22 $1,102.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.72 $754.42 $849.48 $1,187.14 $1,803.98 |
$918.96 $1,008.66 $1,103.72 $1,441.38 |
$1,173.20 $1,262.90 $1,357.96 $1,695.62 |
Toc - Plan #207 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Select Silver 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.31 $415.75 $468.13 $654.22 $994.14 |
$646.53 $695.97 $748.35 $934.44 |
$926.75 $976.19 $1,028.57 $1,214.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.62 $831.50 $936.26 $1,308.44 $1,988.28 |
$1,012.84 $1,111.72 $1,216.48 $1,588.66 |
$1,293.06 $1,391.94 $1,496.70 $1,868.88 |
Toc - Plan #208 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Select Silver 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.72 $388.98 $437.99 $612.08 $930.12 |
$604.89 $651.15 $700.16 $874.25 |
$867.06 $913.32 $962.33 $1,136.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.44 $777.96 $875.98 $1,224.16 $1,860.24 |
$947.61 $1,040.13 $1,138.15 $1,486.33 |
$1,209.78 $1,302.30 $1,400.32 $1,748.50 |
Toc - Plan #209 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Select Silver 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.45 $389.81 $438.92 $613.39 $932.11 |
$606.19 $652.55 $701.66 $876.13 |
$868.93 $915.29 $964.40 $1,138.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.90 $779.62 $877.84 $1,226.78 $1,864.22 |
$949.64 $1,042.36 $1,140.58 $1,489.52 |
$1,212.38 $1,305.10 $1,403.32 $1,752.26 |
Toc - Plan #210 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Select Silver 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.17 $396.30 $446.23 $623.60 $947.62 |
$616.28 $663.41 $713.34 $890.71 |
$883.39 $930.52 $980.45 $1,157.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.34 $792.60 $892.46 $1,247.20 $1,895.24 |
$965.45 $1,059.71 $1,159.57 $1,514.31 |
$1,232.56 $1,326.82 $1,426.68 $1,781.42 |
Toc - Plan #211 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Select Gold 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.54 $422.82 $476.09 $665.34 $1,011.04 |
$657.52 $707.80 $761.07 $950.32 |
$942.50 $992.78 $1,046.05 $1,235.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.08 $845.64 $952.18 $1,330.68 $2,022.08 |
$1,030.06 $1,130.62 $1,237.16 $1,615.66 |
$1,315.04 $1,415.60 $1,522.14 $1,900.64 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-195-485-8300 | Toll Free: 1-888-275-2700 |
Toc - Plan #212 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Aetna CVS Bronze: Low-Cost MinuteClinic Visits, Telehealth, South FL |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.78 $356.14 $401.01 $560.41 $851.60 |
$553.82 $596.18 $641.05 $800.45 |
$793.86 $836.22 $881.09 $1,040.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.56 $712.28 $802.02 $1,120.82 $1,703.20 |
$867.60 $952.32 $1,042.06 $1,360.86 |
$1,107.64 $1,192.36 $1,282.10 $1,600.90 |
Toc - Plan #213 Aetna CVS Health | ||||||||||||||||||||
Bronze
(HMO) Aetna CVS Bronze: $0 MinuteClinic Visits, Telehealth, South FL |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.77 $303.92 $342.21 $478.23 $726.72 |
$472.61 $508.76 $547.05 $683.07 |
$677.45 $713.60 $751.89 $887.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.54 $607.84 $684.42 $956.46 $1,453.44 |
$740.38 $812.68 $889.26 $1,161.30 |
$945.22 $1,017.52 $1,094.10 $1,366.14 |
Toc - Plan #214 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Aetna CVS Gold: $0 MinuteClinic Visits, Telehealth, South FL |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.21 $462.18 $520.41 $727.27 $1,105.16 |
$718.72 $773.69 $831.92 $1,038.78 |
$1,030.23 $1,085.20 $1,143.43 $1,350.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.42 $924.36 $1,040.82 $1,454.54 $2,210.32 |
$1,125.93 $1,235.87 $1,352.33 $1,766.05 |
$1,437.44 $1,547.38 $1,663.84 $2,077.56 |
Toc - Plan #215 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 2: $0 MinuteClinic Visits, Telehealth, South FL |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.03 $389.33 $438.39 $612.64 $930.97 |
$605.44 $651.74 $700.80 $875.05 |
$867.85 $914.15 $963.21 $1,137.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.06 $778.66 $876.78 $1,225.28 $1,861.94 |
$948.47 $1,041.07 $1,139.19 $1,487.69 |
$1,210.88 $1,303.48 $1,401.60 $1,750.10 |
Toc - Plan #216 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 1: $0 MinuteClinic Visits, Telehealth, South FL |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.65 $480.84 $541.42 $756.63 $1,149.77 |
$747.74 $804.93 $865.51 $1,080.72 |
$1,071.83 $1,129.02 $1,189.60 $1,404.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.30 $961.68 $1,082.84 $1,513.26 $2,299.54 |
$1,171.39 $1,285.77 $1,406.93 $1,837.35 |
$1,495.48 $1,609.86 $1,731.02 $2,161.44 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Broward County here.
Broward County is in “Rating Area 6” of Florida.
Currently, there are 216 plans offered in Rating Area 6.